結核病的高危人群
Tuberculosis Risk Factors
Generally, persons at high risk for developing TB disease fall into two categories:
Persons who have been recently infected with TB bacteria
Persons with medical conditions that weaken the immune system
Persons who have been Recently Infected with TB Bacteria
Close contacts of a person with infectious TB disease
Persons who have immigrated from areas of the world with high rates of TB
Children less than 5 years of age who have a positive TB test
Groups with high rates of TB transmission, such as homeless persons, injection drug users, and persons with HIV infection
Persons who work or reside with people who are at high risk for TB in facilities or institutions such as hospitals, homeless shelters, correctional facilities, nursing homes, and residential homes for those with HIV
Persons with Medical Conditions that Weaken the Immune System
HIV infection
Substance abuse
Silicosis
Diabetes mellitus
Severe kidney disease
Low body weight
Organ transplants
Head and neck cancer
Medical treatments such as corticosteroids or organ transplant
Specialized treatment for rheumatoid arthritis or Crohn』s disease
結核病的高危人群
通常來說,結核病的高危人群可分為兩類:
近期感染了結核桿菌的人群
因疾病造成免疫力低下的人群
近期感染了結核桿菌的人群:
與結核病人密切接觸者
從結核病高發地區移民的人群
5歲以下結核病測試呈陽性的兒童
結核病高傳播率人群,如無家可歸者、注射吸毒者和艾滋病毒感染者
在醫院、無家可歸者收容所、懲教所、療養院和艾滋病毒攜帶者居住的設施或機構中與結核病高危人群一起工作或居住的人
因疾病造成免疫力低下的人群
HIV感染
濫用藥物
矽肺
糖尿病
嚴重腎臟疾病
體重輕
器官移植者
頭頸部腫瘤患者
藥物治療,如皮質醇激素或器官移植
類風濕性關節炎或克羅恩病的特殊治療
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